Femoral fracture due to metastatic renal cell carcinoma

Case contributed by Dr Bruno Di Muzio

Presentation

Fracture of the right femur during walking. No known history of malignancy at the time of presentation.

Patient Data

Age: 54
Gender: Male

Proximal diaphyseal fracture of the right femur. There are ill-defined soft tissues component throughout the fracture.

Case Discussion

The history of fracture and its aspects on CT suggests a pathological fracture.

The patient underwent abdominal CT that showed (not avaiable) a 6 cm mass in the left kidney. 

The patient underwent bone biopsy and after treatment with segmental bone resection and reconstruction with a modular titanium diaphyseal endoprosthesis.

The diagnosis was confirmed as a metastatic renal cell carcinoma.

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Case Information

rID: 26536
Case created: 27th Dec 2013
Last edited: 10th Sep 2015
Inclusion in quiz mode: Included

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